Revolution Pain Management, PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

REVOLUTION PAIN MANAGEMENT, PLLC

Practice address

1485 FM 1960 Bypass Rd E Ste 360
Humble, TX 77338-3964

Phone

(281) 783-6856

NPI assigned

Feb 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karina Gyer

Title

Credentialing

Phone

(832) 884-8980

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18064/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1588165344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BRIAR HOLLOW LN STE 300E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 FM 1960 BYPASS RD E STE 360",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383964",
            "telephone_number": "281-783-6856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Briar Hollow Ln Ste 300E",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770279366",
            "country_code": "US",
            "telephone_number": "617-285-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVOLUTION PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "GYER",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "832-884-8980"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": "P5268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Respiratory & Oxygen Plus Inc
• Respiratory Plus
• Lunna Daniela Retana
• Revana Cardiology Associates, PLLC
• Madaiah Revana, MD PA
• Elda Maria Reyes Calzado, NP
• Fernanda Reyes
• Shoaib Ahmad Rezai
• Auntreek B Rhodes
• Destiny Rhodes

• Pain Medicine Physician in Humble, TX
• Providers in Humble, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.